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Case Reports in Pulmonology
Volume 2013, Article ID 159508, 4 pages
http://dx.doi.org/10.1155/2013/159508
Case Report

Empyema in a Woman with Cystic Fibrosis: A Cautionary Tale

1Pediatric Pulmonary Division, Lucile Packard Children's Hospital at Stanford, 770 Welch Road, Suite 350, Palo Alto, CA 94304, USA
2Mass Lung and Allergy, PC, 33 Oak Avenue, Worcester, MA 01605, USA
3Division of Thoracic Surgery, University of Massachusetts Medical School and UMass Memorial Health Care, 55 Lake Avenue, Worcester, MA 01655, USA
4Department of Pediatrics, University of Massachusetts Medical School and UMass Memorial Health Care, 55 Lake Avenue, Worcester, MA 01655, USA

Received 14 January 2013; Accepted 11 February 2013

Academic Editors: M. Kreuter, H. Niwa, N. Reinmuth, C. L. Ren, and K. Watanabe

Copyright © 2013 Anne Coates et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Cystic fibrosis (CF) is a disease which predisposes individuals to recurrent infective exacerbations of suppurative lung disease; however, empyema is a rare complication in these patients. Empyemas secondary to Staphylococcus aureus and Burkholderia cepacia have been described in patients with CF. We report the case of pleural empyema with mixed S. aureus and Pseudomonas aeruginosa infection in a 34-year-old woman with CF, which was managed with ultrasound-guided pigtail catheter insertion, fibrinolysis, and antibiotic therapy. Physicians should be aware of this unusual complication in CF patients, especially those receiving an immunosuppressive therapy.